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Methods for the scientific study of discrimination and health: an ecosocial approach

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Summary:

This paper contends that rigorous methods for the scientific study of discrimination and health require (1) conceptual clarity about the exploitative and oppressive realities of racism and other forms of adverse discrimination; (2) careful attention to domains, pathways, level, and spatiotemporal scale, in historical context; (3) structural-level measures; (4) individual-level issues of domains, nativity, and use of both explicit and implicit discrimination measures; and (5) an embodied analytic approach. The paper concludes that public health researchers must use the best science possible, to ensure that the public becomes aware of the extent and health consequences of racial discrimination.

Comment:
For me, this article really extended thinking on the ‘life course’ theory, arguing that exposures to hazards, including racism, occur at multiple sites and times in people’s lives and the effects are cumulative. It has also provided many excellent and ‘scientifically correct’ examples of racism research from the US, confirming the need to build data through robust research in order to drive out inequity.
Reference: Am J Public Health 2012;102(5):936-45
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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